Provider Demographics
NPI:1316272941
Name:LA TORELLA, ELIZABETH K (MCFT)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:K
Last Name:LA TORELLA
Suffix:
Gender:F
Credentials:MCFT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10011 SE DIVISION ST STE 305
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-1354
Mailing Address - Country:US
Mailing Address - Phone:503-505-1226
Mailing Address - Fax:
Practice Address - Street 1:10011 SE DIVISION ST STE 305
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-1354
Practice Address - Country:US
Practice Address - Phone:503-505-1226
Practice Address - Fax:503-335-5974
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health